Individual provider Active NPI

Anne Tran Nghiem, D.M.D.

  • Pediatric Dentistry
  • Springfield, MA
National Provider Identifier
1225243173
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21421 Issued in MA
Practice address
200 Birnie Ave
No Tooth Left Behind Dental Clinic
Springfield, MA 01107-1102
Phone
(413) 787-7079
Fax
(413) 736-4641
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21421 MA Primary
Pediatric Dentistry 1223P0221X 009029 CT

Addresses

Primary practice location

200 Birnie Ave
No Tooth Left Behind Dental Clinic
Springfield, MA 01107-1102

Mailing address

60 Madison Way
South Windsor, CT 06074-2374
Phone (860) 778-4149

Other identifiers 1

IdentifierTypeStateIssuer
0206369MedicaidMA

Other names 1

  • Dr. Anne Uyen Q. Tran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21421MAMDPediatric Dentist
009029CTMDPediatric Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225243173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON WAY",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742374",
            "telephone_number": "860-778-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BIRNIE AVE",
            "address_2": "NO TOOTH LEFT BEHIND DENTAL CLINIC",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071102",
            "telephone_number": "413-787-7079",
            "fax_number": "413-736-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGHIEM",
        "first_name": "ANNE",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "21421",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "009029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206369",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "TRAN",
            "middle_name": "UYEN Q.",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.